Greg S Komeshak in O Fallon - Chiropractor

Greg S Komeshak - NPI 1265502611

Greg S Komeshak is a Chiropractor in O Fallon, Illinois. Greg S Komeshak practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Greg S Komeshak is 1265502611. The last update date is 2007-07-08.

Greg S Komeshak's current location address is 705 W Us Highway 50, O Fallon, Illinois. You can contact this provider via phone number 6186244242 and fax number 6186245127. The mailing address for Greg S Komeshak is 705 W Us Highway 50, O Fallon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Greg S Komeshak
Address 705 W Us Highway 50, O Fallon, Illinois
Phone Number 6186244242
Fax Number 6186245127
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1265502611
Provider Enumeration Date 2006-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 705 W Us Highway 50
City O Fallon
State Illinois (IL)
Post Code 622691900
Phone Number 6186244242
Fax Number 6186245127

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38009537
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Greg S Komeshak

What is the Greg S Komeshak's unique identification number?

The Greg S Komeshak has been assigned the NPI (National Provider Identifier) Number 1265502611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Greg S Komeshak is physically located?

The Greg S Komeshak is situated at the following address: 705 W Us Highway 50, O Fallon, IL 622691900.

What is Greg S Komeshak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Greg S Komeshak is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1265502611 to Greg S Komeshak?

The Centers for Medicare & Medicaid Services originally issued the 1265502611 to Greg S Komeshak on 2006-11-09.

As of what date were the details pertaining to Greg S Komeshak last refreshed?

The information related to the Greg S Komeshak, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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